|Generic Name(S)||Strength||Dosage Form||ICD Code|
|Apraclonidine||5 mL, 10 mL/5%||Eye drops||Y56.5|
|Betaxolol Ophthalmic||5ml,10ml, 15ml/0.5%||Eye Drops||Y56.5|
|Dipivefrin Ophthalmic||5ml/0.1%||Eye Drops||Y56.5|
|Levobunolol (Ophthalmic)||0.5%/5ml||Eye Drops||Y56.5|
|Pilocarpine Ophthalmic||5mg, 2%/1ml, 0.2%/5ml, 4%/5ml, 4%/4gm||Tablet, Drops,Gel||Y56.5|
|Timolol Ophthalmic||5ml, 10ml, 15ml/0.25%||Eye Drops||Y56.5|
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